This guide explains how each change in a grouping affects the final reimbursement, and offers strategies to successfully deliver quality care and drive growth under PDGM.
| PDGM Numbers that Count Guide |
This worksheet can help you assess your potential enterprise risk as it relates to Key Performance Indicators that will be impacted by PDGM.
| Risk Assessment Worksheet |
This reference tool lists the top 25 most commonly used questionable encounter codes.
| Questionable Encounter Codes |
Click to download a list of primary diagnosis that will not generate a grouping beginning October 1, 2020.
| Ungroupable Primary Diagnoses |
Click to download our guide to functional level scoring under PDGM.
| Functional Level Scoring |
The examples provided in this tool can assist agencies in guiding referral sources to provide additional information to correctly code for PDGM. These examples can also be used as a template for agencies to create diagnoses-specific queries.
| Example Diagnosis Query Tool |
Click to download a list of primary diagnoses that will generate a clinical grouping beginning October 1, 2020.
| Groupable Primary Diagnoses |
Click to download a list of primary diagnoses that are no longer groupable as of October 1, 2020.
| Formerly Groupable Primary Diagnoses |
Click to download a list of primary diagnoses that are groupable as of October 1, 2020.
| New Groupable Primary Diagnoses |
Click to download our complete PDGM Guide for Physicians.
| PDGM Guide for Physicians |
